Provider Demographics
NPI:1518000413
Name:SENYSZYN, RICHARD WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WILLIAM
Last Name:SENYSZYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 GRUENE PARK DR
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2459
Mailing Address - Country:US
Mailing Address - Phone:830-625-0599
Mailing Address - Fax:888-972-3955
Practice Address - Street 1:43 GRUENE PARK DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2459
Practice Address - Country:US
Practice Address - Phone:830-625-0599
Practice Address - Fax:888-972-3955
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2017-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYTL39942084P0800X
TXK30052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1121622Medicaid
LA83973FMedicare ID - Type Unspecified
LA1121622Medicaid